Life cycle responses to health insurance status

被引：17

作者：

Pelgrin, Florian ^{[1
,2
]}

St-Amour, Pascal ^{[2
,3
,4
]}

机构：

[1] EDHEC Business Sch, Paris, France

[2] CIRANO, Montreal, PQ, Canada

[3] Univ Lausanne, Fac Business & Econ HEC, Lausanne, Switzerland

[4] Swiss Finance Inst, Geneva, Switzerland

来源：

JOURNAL OF HEALTH ECONOMICS | 2016年 / 49卷

关键词：

Demand for health; Endogenous morbidity and mortality risks; Asset accumulation; Medicare; Simulated moments estimation; SELF-INSURANCE; DEMAND; MEDICARE; MODEL; MORTALITY; SURVIVAL; BEHAVIOR; UTILITY; WEALTH; IMPACT;

D O I：

10.1016/j.jhealeco.2016.06.007

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

This paper studies the lifetime effects of exogenous changes in health insurance coverage (e.g. Medicare, PPACA, termination of employer-provided plans) on the dynamic optimal allocation (consumption, leisure, health expenditures), status (health and wealth), and welfare. We solve, simulate, and structurally estimate a parsimonious life cycle model with endogenous exposure to morbidity and mortality risks, and exogenous health insurance. By varying coverage, we identify the marginal effects of insurance when young and/or when old on allocations, statuses, and welfare. Our results highlight positive effects of insurance on health, wealth and welfare, as well as mid-life substitution away from healthy leisure in favor of more health expenses, caused by peaking wages, and accelerating health issues. (C) 2016 Elsevier B.V. All rights reserved.

引用

页码：76 / 96

页数：21

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